Individual provider Active NPI

Julia C Stoner, PT

  • Physical Therapist
  • Jackson, WY
National Provider Identifier
1861635617
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18605 Issued in MA
Practice address
1090 S Hwy 89
Jackson, WY 83001-9484
Phone
(307) 733-5577
NPI assigned
Apr 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18605 MA Primary

Addresses

Primary practice location

1090 S Hwy 89
Jackson, WY 83001-9484

Mailing address

PO Box 8467
Jackson, WY 83002-8467
Phone (307) 733-5577

Other practice location 1

25577 Conifer Rd Unit 125
Conifer, CO 80433-9068
Phone (303) 838-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811004319 WY Practitioner - Physical Therapist in Private Practice 6406105618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Pines Physical Therapy Limited PartnershipGroup PAC ID 7416478573, 13 clinicians

Practice addresses (Care Compare)

1175 S Hwy 89
Suite a
Jackson, WY 83001-8512
Phone (307) 733-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18605MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Pines Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Four Pines Physical Therapy PC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1861635617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8467",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830028467",
            "telephone_number": "307-733-5577",
            "fax_number": "307-733-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S HWY 89",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019484",
            "telephone_number": "307-733-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25577 Conifer Rd Unit 125",
            "address_purpose": "LOCATION",
            "city": "Conifer",
            "state": "CO",
            "postal_code": "804339068",
            "country_code": "US",
            "telephone_number": "303-838-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONER",
        "first_name": "JULIA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.